Decree number 2781/79
Strictly confidential and reserved
Read the instructions carefully that are on the other side of this form
Continuation of another form 
 Collective (hotel pension, hospital, convent, prison, etc.)
After you have finished this part of the form, you should continue with Part C Population, in which you will register in each individual sheet the corresponding information about the members of this household.
____ Last name
1. What is your relationship with the head of household?
 Son-in-law/ daughter-in-law
 Parent or parent-in-law
 Other relative
 Domestic servant
 Other non-relative
3. What is his or her age? _ _
5. What is the locality and province, or foreign country [of his or her birth or residence]?
[Question 5C was asked of persons 5 years or older.]
____ Locality or place
____ Province or foreign country
6. [Immigration status]
[Questions 6A and 6B asked only of persons born outside Argentina and who currently reside in Argentina.]
 Pre university
 Teacher's training
 Technical or industrial
 Other middle level
 Higher education not university
 8th or higher
10. What did you do last week?
 Didn't work but had a job
 Looked for work having worked before
 Looked for work for the first time
 Retired and didn't work
 Received rental income and didn't work
 Studied and didn't work
 Took care of their home
 Other situation
Questions 11, 12, and 13 should be asked only of the person that responded to one of the first three choices in question 10. The answer should refer to the activity carried out between Monday and the Sunday before the day of the census.
[Question 11, 12 and 13 were asked of persons who responded to one of the first three choices in question 10: worked, didn't work but had a job, or looked for work having worked before.]
11. What is the occupation, job or type of work that you do? ________
12. What position did you have in this occupation?
 Employee or worker in the public sector
 Employee or worker in the private sector
 Domestic employee
 Self-employed (does not have employer)
 Owner or partner (has employees)
 Family worker without regular income
 Up to five people employed
 More than 5 people employed
 Less than 10 blocks away
 More than 10 blocks away